| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,324.00 | $3,324.00 | $3,324.00 | |
Aetna
| Professional | $3,324.00 | $3,324.00 | $3,324.00 | |
BCBS
| Professional | $4,155.00 | $5,152.00 | $10,637.00 | |
Cigna
| Facility | $6,647.83 | $6,647.83 | $6,647.83 | |
Cigna
| Professional | $3,819.42 | $4,774.28 | $7,146.28 | |
United
| Professional | $1,396.08 | $1,396.08 | $3,324.00 |